Loading...
PMT17-02209 City of Menifee Permit No.: PMT17-02209 29714 HAUN RD. T Residential Mechanical '�1 /->CCEL MENIFEE,CA 92586 yam' MENIFEE Date Issued: 06t28/2017 PERMIT Site Address: 28754 VELA DR, MENIFEE, CA 92586 Parcel Number: 339-480-007 Construction Cost: $1,200.00 Existing Use: Proposed Use: Description of FURNACE CHANGE OUT ONLY, 90,000 BTU(CLOSET) Work: Owner Contractor PATRICIA HOFERER W C HEATING&AIR CONDITIONING INC 28754 VELA DRIVE 41085 GOLDEN GATE CIR MENIFEE, CA 92586 MURRIETA, CA 92562 Applicant Phone:9516000700 JILL WESTON License Number: 779504 WC HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Fee Description Ply Amount 1$1 Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Building Permit Issuance 1 27.D0 GREEN FEE 1 1.00 General Plan Maintenance Fee-Mechanical 1 7.45 $184.45 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for cohstmction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and O I am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class Can License No. —)--)ak4(-'( By my signature below I acknowledge that,except for my personal residence Expires Signature W1301 av`-� in which I must have resided for at least one year prior to completion of �17- improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the labor Code,for the performance of work for which www.leeinfo.ca.eov/calaw.html. this permit is issued. Polity# Date ave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT s ction 3700 of the Labor Code,for the performance of the work for which O By my signature below l certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number am:y� �."`��c application and the information I have provided is correct.I agree to comply Carrier [�L:.KL�fl�YCJ "aA-Xa ' with all applicable city and county ordinances and state laws relating to �`,��`�� building construction.I authorize representatives of this city or county to Policy#W Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, /� /� (� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 6551Q0 et.. workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant 19.1- �J.e✓� Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FA RE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑yes t?No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY ❑Yes V'No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet ofthe lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) O Yes 9No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that 1 am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyes Ao, `_ ,,� Business and Professions Code).Any city or county that requires a permit to WD/3Cb`� Date construct,alter,improve,demolish or repair any structure,prior to its PROPER WNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exemptfrom Iicensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.goy/lead or contact the National Lead Information Center at not intended or offered forsale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement Is sold within one year of Firm Certifrmtion No.: completion,the Owner-Builder will have the burden of proving that it was not built or Improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project bemuse: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please full out the RRP Acknowledgement -�Ydhy ' 1/'li`Ji7aL7tl-YlN1Ui:Ii Ijo ! Menifee DATE 0 612 712 01 7 PERMIT/PLAN CHECK NUMBER TYPE: []COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL ❑NEW []PLUMBING ❑RE-ROOF-NUMBEROFSQUARES DESCRIPTION OF WORK FURNACE CHANGE OUT ONLY.90K BTU FURNACE(CLOSET) PROJECT ADDRESS 28754 VELA DR,MENIFEE ASSESSOR'S PARCEL NUMBER LOT TRACT PROPERTY OWNER'S NAME PATRICIA HOFERER City of Menifee ADDRESS 28754 VELA DR,MENIFEE Buildin PHONE (760)803-6930 EMAIL APPLICANT NAME SILL WESTON 1 WE GREEN ADDRESS 3645 RUFFIN RD.9330 SAN DIEGO CA 92123 R PHONE (949)630-1550 _ EI17:i1: CONTRACTOR'S NAME RUSSELL COCHRAN — OWNER BUILDER? E]YESj2NO BUSINESS NAME WE CARE ADDRESS 41805 GOLDEN GATE CIRCLE,MURRIETACA PHONE (951)600-7000 EMAIL CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20 VALUATION$ $1,200-00 SO FT L SO FT APPLICANTS SIGNATURE DATE 1 , .,.,. '_ t,��'.: ' `� .0�i 1�i t�e� � :if " � � 5 r✓L"^`�, _ .r'T•'-e\,�XM�k- � _•JJ J ' �T "'' CITY OF MENIFEE BUSINESS LICENSE NUMBER DEPARTMENT 0151RIBU I JUN BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE ,� 1 PAIDAMOUNT 14 1 XT O CASH 0 CHECK 0 OCREDITCARD WWMIC AMOUNT V`—i. � LJ'� PLAN CHECK FEES PAID AMOUNT O CASH O CHECK R O CREDIT CARD VISVMC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building 9 Safely Department 29714 Houn Rd. Menifee, CA 915S6 951-672-6777 www.cayofineni(ee.us Inspection Request Line 951-146-6213 Scanned by CamScanner y n EL ?� o 0 0 0 o T .,^, D v D n D D m o� 3 O o a N m o w m o m 3 v m ^ X O m C. m 3 = 3 n O m cQ n D 3 .ndr N O r m ^ o O : a D � O C m a n N n 3 O m a , m sc O n w n 3 D- w O 3 Nn O Lnn D v w d m m " < G G •* o M GI O N C N M T N D n v ^ R o F. n ^ m m N O V O y O Of A N a j O O m D D A Ol T O C O O O E. m m �; pop � a 'm � Nm 'o. 3 3 � • 0 o a d = lA V O A N m m m N a a Z < W W A N w F+ C 6 m V1 m < N N 0 � 3 a CD a � N m n Ce j a o z oD D (® c a ' CD ^ f+ m m � V iii � m m N o+ v+ 3 V w T nD ;n m N o I^ ti ti e ti o ti m p a m m C D G N � m O O o 'm w �n c o m m o' s to 2 O m n D 3 3 ^ a x Fw Nryo ? m y 3OOo O. C d � A 71 0 � a aa' oya 0 3 SD 3 x D pOp � o InD n u w m a ^as c N j w F 3 O' A m z o n m N o 0 0 ¢ N 2 � .3f a p< .�• S V m � O 00 eT m m m g = n o 'O Q � S. < w m O O a O N n U n m m O d l C D ry * A O 3 3n03 N Nw n < 5 m F. n m o 3 Q a o ry C O d < N 0 3 > n = 0F0 < 3 °0 a n j T �^ C O 3 3 O p s m 3 N m ' m o D 0 v 3 0 0 v+ s A m m m n (p n m 3 0 C c v m o m O N O 0 f1 s T n m = m p o O jp O N M c d o Q G' C. N O m. j c m o o < w a N n a m N M3 0 � C � p aA m o o < 3 OI - d m -� {n d � N w � Q m d c m N n m E-L w F N Q 3 ^ O o o T 0 0 ICG fef ^' N in S 0 0 n W m O1 N a < o p 0 F+ D w i O n n 3 a r H j O n N 3 C _ O w rn Q (l � 7 � m 61 w na a m S o S. mQL p �n NQL vr Et n w p Z w O1 c O a�a O m w ni o `C m j ao. p N n m A N 3 w 3Ln m T w n O w A 0 o R o m � T J n n F+ l0 F+ m a ^p V� 6 j °° M f0) fD m N o OTEL O C a m m 5 w 3 EL �n V c O w C rt O A S. D O N EL m 6 3 O 9 n p a 5. 3 ° J - ° w o O1 0 o p c m m n o s o o w a 3 3 o ° v m v Ll > ia N = a u N V � J = O N A it S W m 0 V N